Individual
SARA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1460 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6040
(954) 752-7552
(954) 752-4737
Mailing address
1460 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6040
(954) 752-7552
(954) 752-4737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME168072
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME168072
FL
Other
Enumeration date
04/20/2020
Last updated
12/10/2025
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